{
"Npi": {
"NPI": "1093370520",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEARTS OF MINE COMMUNITY HEALTH INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3201 N WILKE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARLINGTON HEIGHTS",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60004-1437",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-670-8268",
"MailingAddressFaxNumber": "412-774-2667",
"FirstLinePracticeLocationAddress": "700 RIVER AVE STE 216",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PITTSBURGH",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15212-5907",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "412-808-0022",
"PracticeLocationAddressFaxNumber": "412-774-2667",
"EnumerationDate": "05/09/2019",
"LastUpdateDate": "05/07/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SABERBEIN",
"AuthorizedOfficialFirstName": "GUSTAVO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "COO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-670-8268",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}